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Liver disease refers to a chronic condition affecting liver function. The liver plays an essential role in digesting food, storing energy, and removing toxins. Compromised liver function and liver damage can potentially lead to symptoms such as abdominal swelling, fluid retention, yellowing of the eyes (jaundice), and changes in stool and urine color.
Some causes of liver disease are directly related to nutrition, such as excessive alcohol consumption and obesity-related non-alcoholic fatty liver disease (NAFLD). Liver disease can also be related to other factors, such as hepatitis c and liver cancer. Regardless of the cause, nutrition interventions are crucial in managing liver disease, and working with a dietitian can be an essential component of your medical care.
The management of liver disease can vary depending on the etiology. A dietitian who specializes in liver concerns can educate you on your specific causes, symptoms, risk factors, and more. A registered dietitian can help you develop a nutrition and lifestyle plan tailored to your unique situation. For example, a dietitian can outline what foods to eat and avoid on a fatty liver diet. Likewise, they can help you establish a healthy diet specific to cirrhosis or other liver diseases by offering guidance on how to incorporate more liver-friendly foods to promote a general healthy diet.
Below are some examples of nutrition interventions that your dietitian may suggest. Since it is not possible to target fat loss around the liver, the core of any rehabilitation plan should center on improving overall health and metabolic function in order to support the liver.
Achieving and maintaining a healthy weight is crucial in managing fatty liver disease. A dietitian can help establish a healthy caloric deficit consisting of a balanced diet that is rich in whole grains, fruits, vegetables, low-fat dairy, and lean protein sources.
Saturated and trans fats can increase cholesterol levels and, therefore, increase liver inflammation and fat deposition on the liver. A dietitian can help you identify these sources of fats in your diet and find healthier alternatives.
Added sugars and refined carbohydrates can raise blood sugar levels and increase the risk of storage of excess glucose in the liver, insulin resistance, and inflammation. Increasing fiber intake and other dietary and lifestyle changes can help improve insulin sensitivity, which helps when managing liver disease. A dietitian can help you choose healthier carbohydrate sources and fiber-rich foods.
Alcohol consumption should be limited or ideally avoided for individuals with liver disease. Abstaining from alcohol is especially essential for those with alcoholic fatty liver disease. A dietitian can help develop strategies to reduce or abstain from alcohol consumption.
A dietitian can work with you to create a personalized nutrition and lifestyle plan that addresses your specific needs and preferences. They can also help troubleshoot challenges and provide social or motivational support for long-lasting results.
Liver diseases related to cirrhosis or liver cancer require a unique set of nutrition interventions depending on the severity, symptoms, and treatment course. A registered dietitian can make recommendations regarding dietary changes or additions to support your treatment and overall health. Nutritional management of liver cirrhosis or cancer includes using nutrition to prevent weight loss and malnutrition, manage the side effects of the disease or treatment, speed up recovery, rebuild damaged tissues after treatment, and improve the body’s immune system.
If you have liver disease, working with a registered dietitian is highly recommended. Dietitians can provide personalized nutrition plans tailored to your specific needs, help you manage and improve your condition, and promote liver health.
U.S. National Library of Medicine. (n.d.). Liver diseases. MedlinePlus. https://medlineplus.gov/liverdiseases.html
Offices currently located in Syracuse, Buffalo, Albany, and Rochester, NY, but we see patients all across the country.
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